Medical Policy Manager jobs in the United States

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Policy Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2020 Salary.com)

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Clinic RN - Pain Management
  • CHI Franciscan Medical Group
  • Gig Harbor, WA
  • ... Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in direct care of clinic ... Screens, communicates and responds to patient needs appropriately; managing patient flow to ensure ...
  • yesterday

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Clinic RN - Women's Health
  • CHI Franciscan Medical Group
  • Tacoma, WA
  • ... Medical Group (FMG) Scope of Practice policy. An incumbent is engaged in direct care of clinic ... Screens, communicates and responds to patient needs appropriately; managing patient flow to ensure ...
  • yesterday

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Community Health & Testing Manager
  • Community Medical Centers
  • Stockton, CA
  • The Mobile Medical and Testing Manager is responsible for managing operational aspects of the ... policies. * Tracks time off requests in order to assist in adequately staffed mobile site(s) and ...
  • 3 days ago

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Azura Vascular Access Facility Manager
  • Fresenius Medical Care
  • Philadelphia, PA
  • Manages all aspects of patient care in the vascular access facility from admission through ... Follows processes and operational policies in selecting methods and techniques for obtaining ...
  • 4 days ago

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Director- Wound Care
  • CHI St. Luke's Health-Patients Medical Center
  • Pasadena, TX
  • Patients Medical Center (PMC) provides inpatient and outpatient medical and surgical services to ... Adheres to established standards, policies, procedures, protocols, and laws. Applies the Mission ...
  • 4 days ago

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Policy Communications Manager
  • The Mom Project
  • San Francisco, CA
  • We are seeking a Policy Communications Manager on a contract basis to help support their business ... Medical, Dental, Vision, Life (including spouse & child), 401k, STD/LTD, AD&D, and Commuter ...
  • 5 days ago

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RN - Care Manager
  • CHI Franciscan St. Joseph Medical Center
  • Tacoma, WA
  • We are a family of hospitals, health care services, and medical providers delivering compassionate ... Completes documentation responsibilities in keeping with hospital and department policy. Performs ...
  • 6 days ago

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RN Clinical Operations Manager - Medical Surgical
  • Providence Health & Services
  • Oregon City, OR
  • Providence is looking for a RN Clinical Operations Manager - Medical Surgical (1.0 FTE, Days) to ... Comply with policies for reporting and addressing quality care concerns (i.e. Unusual Occurrence ...
  • 6 days ago

Income Estimation for Medical Policy Manager jobs
$118,443 to $144,617